Agathos Laboratories, Inc.
Organization Active NPI Clinical Medical Laboratory · Santa Clara, CA
NPI 1154675742 · NPPES record last updated Jan 21, 2014
Key facts
- NPI
- 1154675742
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- AGATHOS LABORATORIES, INC.
- Practice address
- 5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1122 - Phone
- (408) 730-6819
- Fax
- (408) 562-5745
- NPI assigned
- Nov 4, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul O Momoh, PH.D.
- Title
- President
- Phone
- (408) 730-6819
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Clinical Medical Laboratory | 291900000X | GH102230817 | CA | |
| Clinical Medical Laboratory | 291U00000X | Yes | ||
| Point of Service | 305S00000X | GH102230817 | CA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | GH102230817 | CA |
Addresses
Primary practice location
5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1122
Mailing address
5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1122
Phone (408) 730-6819
Other providers in Santa Clara, CA
- Sarah Adut
- Advance Biometrix, LLC
- Advanced Surgicare, LLC
- Dela Adzimah
- Edzle C Agabao
- Anahita Aghaei Lasboo
- Jennier Aguayo Ruiz
- Adrienne Aguiar
- Scarleth Sugey Aguilar Funes
- Maria Engracia Aguilar-Malaznik
All providers in Santa Clara, CA · Clinical Medical Laboratory in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.